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More than 20 different methods of long-acting and short-acting hormonal and barrier contraception are now available, many of which are 99-percent-plus effective. But strange superstitions live on.

Written by the IPPF Live for RH Reality Check. This diary is cross-posted; commenters wishing to engage directly with the author should do so at the original post.

Published in partnership with the International Planned Parenthood Federation (IPPF) Live blog.

Crocodile feces, honey, dates, hot mercury, fish, opium, half a lemon, disinfectant, cola, animal intestines, weasel testicles, a hare's anus, and the toxic sludge from a blacksmith's workshop. Sounds like the contents of Heston Blumenthal's kitchen cupboard.

In fact, these ingredients, in various combinations, have all been ingested, inserted, digested, or applied as contraceptive measures over the years. Few of them worked. Many resulted in death.

Wednesday, September 26th, is World Contraception Day. This is a day of campaigning for a world in which "every pregnancy is wanted." Its mission is to improve awareness of contraception among young people, so that they can make informed decisions about their sexual and reproductive health (SRH).

Times have moved on since the days of such weird concoctions. More than 20 different methods of long-acting and short-acting hormonal and barrier contraception are now available, many of which are 99-percent-plus effective.

But strange superstitions live on. Take the pill, and you'll gain weight, grow a beard, become infertile, and smell funny. HIV and STI cells are so small, so the story goes, that they can slip through the walls of a condom.

You can't get pregnant if the girl's on top, if you jump up and down afterwards, if you don't have an orgasm, or if you have sex in a hot bath. (How hot? What size bath?) Plastic wrap works as well as a condom, toothpaste is an effective spermicide, and, of course, no one gets pregnant the first time.

Wrong, wrong, wrong, of course. But if your only access to information is peer-group-led Internet chat and street-corner gossip; if your mom, dad, and teachers consider sex totally taboo; if your doctor doesn't approve; and you can't get advice or supplies ... well, basically, you're stuffed.

There are people who say young people shouldn't have sex until a relationship is seen to have some kind of social or religious legitimacy. There are people who say, whether you like it or not, many young people will have sex regardless of such strictures.

Either way -- whether sex takes place on a wedding night, or before -- it seems sensible to take the simple precautionary measure of ensuring that young people (or any people for that matter) know what they're doing and are aware of the possible complications that attach. That applies whether people see it as a procreational duty, as a way of expressing love, or as something that is simply fun. Whatever way people choose to look at it, sex is an essential, enjoyable, and rewarding aspect of being alive. (Well, isn't it?)

Look at it like driving. You can't suddenly jump in a car one night and drive off safely if you don't know the rules of the road, you've got no insurance, and you haven't got the foggiest idea what the different pedals, switches, and controls are all designed to do, or where they are. So, why do we expect anyone (whether on his or her wedding night or not) to suddenly jump into a sexual union and head off safely into the sunset?

The earliest known illustration of a man using a condom is in a cave painting in France. It's reckoned to be 12,000 to 15,000 years old. Clearly, this is where Stone- Age students gathered to take part in the world's first comprehenisve sexuality-education program.

Have we moved on from the Stone Age?

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